1340 The operation is not done by one person
"Hemostatic gauze, large gauze pad." Zheng Ren reached out and the nurse quickly made a sterile packaging bag. After ten seconds, the hemostatic gauze and large gauze pad were handed to Zheng Ren's hand.
Cover the broken venous plexus with hemostatic gauze and press it with a large gauze pad.
"Boss Zheng, can this work?" Liu Xuzhi felt bloody when he saw the bleeding gauze spread on it. He felt unsure and suddenly asked.
"We have undergone many embolization surgeries for pelvic fractures in Pengxi Township. Without surgery, we can stop the blood. It's okay." Zheng Ren began to investigate the damage of the intestine and explained: "Article pressure is marked with mercury, and venous pressure is marked with water column. The pressure is different, and the difference is much worse."
Liu Xuzhi was a little confused and thought to write down this and go back and read the book carefully.
"Then why do you need to take action?" Liu Xuzhi immediately remembered an unexplainable point.
"Old Liu, the patient's intestines are damaged. We are exploring the laparotomy to repair the intestines. Because there is bleeding in the veins, I will take a look." Zheng Ren explained helplessly.
I have to ask, Lao Liu's level is indeed very average. But he is a radiologist and can understand it.
"..." Liu Xuzhi forgot about this and his face turned red. He was so nervous, so he was so nervous that he forgot about this.
"By the way, if you press and stop bleeding, the patient will have less bleeding." Zheng Ren said: "I just sucked out about 2500ml of fresh blood without coagulation, and there are a few blood clots, which is 300ml. The patient's bleeding volume is too large, so it is less."
So accurate? Liu Xuzhi quietly turned around and glanced at the negative pressure attraction bottle behind him.
The amount of liquid in the two bottles combined was about 2550ml. Liu Xuzhi sighed in his heart, Boss Zheng was too sure.
"Anocetal department, do you have it?" Zheng Ren asked.
Dean Wang shook his head.
"What should I do if the patient with hemorrhoids?"
"It's all done by general surgery." Dean Wang replied. After seeing the operation, he felt an extremely professional force from the conversation between Zheng Ren and Liu Xuzhi. His recognition of Zheng Ren became stronger and stronger, and even felt an indescribable sense of dependence.
Although he is young, he is truly a professor in 912. He is proficient in rescue techniques and quick movements, but he is a little bit cruel.
However, emergency rescue can be understood.
"You can do it..." Zheng Ren asked for a while and then stopped.
The two general surgeons opposite were confused, looking at the electroplating steel rods, and even looked a little afraid.
It's definitely not possible to rely on them.
At this moment, Zheng Ren missed Su Yun very much.
The surgery was not done by one person, especially in such severe compound injuries. I still remember that in the first hospital of Haicheng City, there was a patient who was penetrated by steel bars. Finally, the steel bars were pulled out by Su Yun and then sutured.
Now, only myself.
Next time, I must not let these guys go, Zheng Ren was very upset.
I kept reminding myself, but I was still floating before I knew it. I subconsciously thought I could handle everything, but I started to regret it when I came on stage.
If Xie Yiren, Su Yun and the Chu sisters were there, the surgery would have been almost finished now.
Zheng Ren deeply reflected on himself, but his hands were not slow. He began to explore and suture the intestines.
Because the metal head is not very sharp and the intestinal damage is not serious, it is still a blessing in disguise.
There were six broken points in the intestines, and Zheng Ren sutured them one by one. Then he took away the large gauze pad and saw that the bleeding of the pelvic vena cava plexus on the covered area stopped.
If there is huge damage or breakage, it can be ligated. However, Zheng Ren checked it out and found that there was no such situation, so he saved some effort.
"Director Wang? Can you pull out the electroplating rod?" Zheng Ren asked.
"..." Dean Wang took two steps back.
"Old Liu?"
"I... try." Liu Xuzhi's hands were a little soft. He was a radiology doctor. The smell of abdominal organs and blood mixed with blood was already making him vomit.
Do you still need to pull out such a long electroplating rod?
He tried hard to prevent his hands from shaking, but then he felt a urge to urinate.
"Boss Zheng, I... that... is urgent to pee..." Liu Xuzhi's face turned red like a monkey's butt.
It was like a deserter who said such words at this time. Although he had experienced earthquake relief and disaster relief and had seen many, it was the first time he had faced the situation directly.
Although he is a doctor, he is different from a doctor.
Seeing that Lao Liu was timid, Zheng Ren did not force himself. He looked at the doctor in the Sishu opposite and said, "You, go and pull out the electroplating rod. Wear gloves, be careful not to hurt people. Be especially careful not to hurt yourself!"
"Yes." The general surgeon has seen emergency rescue, and there is still some gallbladder.
"After pulling it out, fill it with a large gauze. After I finish the abdominal cavity, I will go down to stop the bleeding and suture it." Zheng Ren sighed and said.
One hour and thirty-two minutes later, the operation was over.
Liu Xuzhi felt his feet weak and his legs were a little shaking, and he couldn't stand steadily.
"Director Wang, this, please give your family a look." Zheng Ren said, wearing sterile gloves, weighing the half-electroplating rod.
Dean Wang was also a little cowardly, but he still forced himself to put on a pair of gloves and barely grinned.
Zheng Ren felt relieved as the blood pressure on the monitor had recovered to 100/60 mmHg. The system gave the operation completion rate of 95%, although it was not up to 100%, but it was enough.
He knew what was wrong with him.
If all venous plexuses are consistent, the operation can be completed to 100%. However, there is no microscope in the town hospital and there will be no such thin vascular suture needles.
Zheng Ren was already very satisfied with the fact that he could achieve this level.
Liu Xuzhi accompanied Zheng Ren to change his clothes with a embarrassed look. Liu Xuzhi felt embarrassed when he thought about it.
"Boss Zheng, I just..."
"It's okay." Zheng Ren smiled, "You are not a surgeon, so it's normal not to get used to it. But have you seen the anatomy of the pelvic cavity clearly today?"
Liu Xuzhi nodded vigorously.
If you have any major gains, it is his greatest gain to be able to see the physiological and comprehension of the pelvic arteriovenous plexus. Moreover, it is not only the physiological and comprehension of the anatomy, but also the anatomy after arterial embolization.
"I guess I saw the anatomy today. Go back and reflect, your level can rise a little. There will not be many opportunities like this. Lao Liu, your luck is still good." Zheng Ren smiled.
"Absolutely." Liu Xuzhi still had no confidence, "By the way, Boss Zheng. What should I do if I have a second phase surgery in two days?"
"Didn't you do an example yourself? There should be no problem."
"Aren't I still a little worried?" Liu Xuzhi said in a low voice.
"Oh, let me see if I have time. If I don't have time, I will ask the professor or let Liu Zewei come."
Chapter completed!